Sutter Health is a registered This information is neither an offer of coverage nor medical advice. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Meritain Health insurance. Meritain Health Phone Number | Call Now & Shortcut to Rep - GetHuman We are excited to share that MeridianCare, a WellCare company, is , https://corp.mhplan.com/en/join-our-network/, Health (Just Now) WebWelcome to Meritain Health's Aetna DocFind site. Learn more about our clearinghouse vendors here. While we strive to keep this list up to date, it's always best to check with your health plan to determine the specific details of your coverage, including benefit designs and Sutter provider participation in your provider network. With Aetna's financial backing and 30-plus years of operational excellence, you can rest assured knowing Meritain Health has the experience and resources to keep your plan. You are always free to visit any health care provider you want, but youll typically receive the best rates when you choose participating (in-network) providers. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. Were a proud subsidiary of Aetna and CVS Health. Offering Easy Access to Virtual Mental Well-being Providers, Listen to Your Gut to Improve Your Health. This Aetna provider , Health WebAll providers interested in participating in our networks must complete and return a credentialing application, as explained below. It helps when you understand the ins and outs of your health care benefits, especially when youre in search of a doctor or health care facility. You can email the site owner to let them know you were blocked. Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. Please contact your Meritain Health Representative. This means we can connect you to over 700,000 providers nationwide, unmatched network , https://qa.meritain.com/?spb-section=welcome-to-meritain-health, Health (2 days ago) WebMeritain Health Provider Services - Meritain Health Provider services Contact us Your patients health and your ability to access their information is important to us. We know it can seem hard to figure out what provider is in-network, so weve put together a couple options to help you locate some. We take our mission as Advocates for Healthier Living seriouslyand cant wait to support you! ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. You can learn more by contacting the Customer Service department of your benefits plan. We also take steps to help you save on the cost of your care. It is a separate process from network contracting. Welcome to the Meritain Health benefits program. Have questions or need to connect with us? First, you can request participation in the Aetna network by completing , Understanding asian culture in healthcare, How does culture affect health and wellbeing, Home health conditions of participation 2023, 2022 health-mental.org. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. PLEASE NOTE: The Precertification Request form is for provider use only. It is only a partial, general description of plan or program benefits and does not constitute a contract. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Username. Privacy Policy Applicable FARS/DFARS apply. No fee schedules, basic unit, relative values or related listings are included in CPT. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Precertification Code Search Tool. Cloudflare Ray ID: 7c0ab7761d84efce Members should discuss any matters related to their coverage or condition with their treating provider. Provider services - Meritain Health Gwizdala & Associates offers tax, bookkeeping and. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. Have questions about our products, policies and services? Meridian Phone Members: 888-437-0606 (TTY 711) Providers: 888-773-2647 (TTY 711) Meridian's regular business hours are Mon - Friday 8am-6:30pm EST. At Meritain Health, our goal is simpletake a creative approach to health care and build industry-leading connections. Health (1 days ago) WebYour online Meritain Health provider portal gives you instant, online access to patient eligibility, claims information, forms and more. This site has been specially designed to provide quick and easy access to the Aetna provider directory. Aetna Claim Address|Aetna Provider Phone Number Updated (2023) December 23, 2022 by NSingh Aetna Provider Phone number and Aetna Claim address are updated from trusted and authorized online resources as per the latest updates. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. Include the date to the template using the Date feature. " It's easy to find helpful information and answers for individuals, employers and providers. Information obtained during the , Health WebCredentialing Process Overview . Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. For non-participating health care professionals Network applications (behavioral health, dental, facility, and pharmacy) Practice changes and provider termination Request a medical application Request Part D pharmacy participation Request participation in First Health Submit feedback Find frequently asked questions (FAQs) Find more options under: , Health (5 days ago) WebTo locate a physician or facility for treatment participating with Meritain: Please call Meritain Health at 1-800-343-3140 for help finding an in-network provider. We are excited to share that MeridianCare, a WellCare company, is , Health (Just Now) WebEnsure that the details you fill in Meritain Benefit Enrollment Form Fillable is up-to-date and correct. Phone number to dial 800-925-2272. Precertification Request Clinical Update Request Welcome to the Meritain Health benefits program. Applicable FARS/DFARS apply. 69.163.152.136 Cookie Preferences. Treating providers are solely responsible for dental advice and treatment of members. Go to the American Medical Association Web site. Chain or Pharmacy Services Administrative Organization (PSAO) pharmacies, Please be sure to add a 1 before your mobile number, ex: 19876543210, Precertification lists and CPT code search, Availity users log in to send us your questions, Submit a medical or behavioral health question or comment, Submit a National Provider Identifier (NPI), Submit a National Provider Identifier (NPI) exemption, Request clinical review criteria for New York state residents, Participating provider precertification list for Aetna (PDF), Non-Medicare plans, including individual and family plans -, Mental health treatment - use phone number on member's ID card, Substance abuse treatment - use phone number on member's ID card, Non-Medicare, including individual and family plan precertification -, Specialty precertification (injectable drugs) for Medicare plans , Specialty precertification (injectable drugs) for non-Medicare, including individual and family plans , Pharmacy precertification (oral drugs) for Medicare plans , Pharmacy precertification (oral drugs) for non-Medicare, including individual and family plans , BRCA genetic testing (precertification and information) -, National Medical Excellence (transplant related care and cellular therapy services) for Medicare, non-Medicare, including individual and family plans , Participating providers can find more precertification phone numbers in, Availity help - registration questions, help with user name/password -, I am a non-physician health care professional who is not employed by an Aetna-contracted provider (physician group, hospital, etc.) Step 2. Meritain Health Member Services - Meritain Health For Providers Meritain Health Provider Portal Meritain Health WebMeritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. Independent non-retail pharmacies - such as long-term care facilities, home infusion pharmacies, and mail order pharmacies - can call one of the phone numbers below to request participation: Chain or PSAO pharmacies can request to participate in our Part D retail pharmacy network by emailing us this information: E-mail your pharmacy information to Aetna. Select the Sign icon and , Health (4 days ago) WebHealth Care Providers: Join the Aetna Network. Category: Health Detail Health. PROVIDER RELATIONS APPLICABLE STATE Carpenters' Health & Welfare Trust Fund Meritain Health PO Box 853921 Richardson, TX 75085-3921 (87 Web MD/Emdeon, #41124 or McKesson/Relay Health 1761 (314) 644-4802 ext. Aetna Claim Address And Aetna Provider Phone Number: Aetna Medicare Providers Claim Address and Phone Number by providers with Doctor.com accounts when editing their profile on Doctor.com. Our trusted partnership will afford you and your practice a healthy , https://www.meritain.com/resources-for-providers-meritain-health-provider-portal/, Health (3 days ago) WebAt Meritain Health, we create unrivaled connections. All providers interested in , https://www.amerihealth.com/providers/interactive_tools/credentialing/index.html, Health (5 days ago) WebThe Provider/Specialist who receives the patient referral must submit the completed Specialty Referral form to: Meritain Health, Inc. via fax at (602) 789-9369 or submit via , https://polk-county.net/indigent-health-care/polk-healthcare-plan-providers, Health (6 days ago) WebHealth Care Providers: Request to Join the Aetna Network Thank you for your interest in joining our network We are excited that you are interested in joining our quality network , https://extaz-oci.aetna.com/pocui/join-the-aetna-network, Health (9 days ago) WebJoin Our Network Meridian Health Plan of Michigan provider Home JOIN OUR NETWORK Learn more about how being a Meridian provider benefits you. All rights reserved. Completing the Application Once you have , https://denmaar.com/aetna-insurance-provider-credentialing/, Healthcare information security certification, Dc department of health and licensing search, Washington state mental health license lookup, Car insurance for healthcare professionals, Ohiohealth physician group primary care, 2021 health-improve.org. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. This search will use the five-tier subtype. Alta Bates Summit Medical Center - Alta Bates Campus, Alta Bates Summit Medical Center - Summit Campus, Sutter Maternity & Surgery Center of Santa Cruz. Find a Northern Californian Provider that meets your needs. We're currently processing your request and we'll be in touch soon. This page provides an overview of our process: what you need to do and what you can expect , Health WebMetLife is committed to helping our providers have a smooth transition to our new enrollment solution with as little disruption as possible. Password. Meritain Health Provider Credentialing Note: If you are a hospital based provider seeking to join an already contracted group, you do not need to complete the application independently. Navigate phone maze to a human Press 2, 0#, 0#, and 0# and you will be transferred. Meritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. Visit the secure website, available through www.aetna.com, for more information. If you have questions related to COVID-19, including those on our telemedicine policy, testing, coding for COVID-19 related visits, and additional resources Aetna is sharing to support you during this pandemic, please check our Provider COVID-19 FAQ website. And our payment, financial and procedural accuracy is above 99 percent. Any use of CPT outside of Aetna Clinical Policy Bulletins (CPBs) should refer to the most current Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. Please contact your Meritain Health Representative. The Aetna Service Centers help with benefits, claims, appeals, contracted rates, and many other questions. I may or may not be employed by an Aetna-contracted provider. Your patients health and your ability to access their information is important to us. And when you have questions, weve got , Health (3 days ago) WebAt Meritain Health, we create unrivaled connections. The member's benefit plan determines coverage. Click to reveal For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. Our trusted partnership will afford you and your practice a healthy dose of advantages. Whatever you need help with, you can find us using the contact information below. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Health Plan Search Aetna - Meritain Health PPO - Sutter Health Cobrowse. (5 days ago) WebHere's how it works: Step 1. Our Customer Support team is just a phone call away for guidance on COVID-19 information, precertification and all your inquiries. Prompt claims payment You'll benefit from our commitment to service excellence. Independent retail pharmacies can fill out the form at the link below. Provider services Contact us Your patient's health and your ability to access their information is important to us. Our trusted partnership will afford you and your practice a healthy Detail: Visit URL Category: Health View Health Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). Email Members: memberservices.mi@mhplan.com Mail Meridian 777 Woodward Ave, Ste 700 Detroit, MI 48226 Meridian Healthy Michigan Phone While we strive to keep this list up to date, it's always best to check with your health plan to determine the specific details of your coverage, including benefit designs and Sutter provider participation in your provider network. PDF Meritain Health Customer Service - EPC By showing providers with higher ProfilePoints first, Meritain Health Member Services - Meritain Health Member services Contact us Your health and your ability to access your information is important to us. Links to various non-Aetna sites are provided for your convenience only. Less red tape means more peace of mind for you. CPT only Copyright 2022 American Medical Association. To reach us by phone: For the fastest service, dial the toll-free number on the back of your ID card The Provider/Specialist who receives the patient referral must submit the completed Specialty Referral form to: Meritain Health, Inc. via fax at (602) 789-9369 or submit via email at group_precert-referrals@meritain.com in order for claims to be paid. Meritain Health Claim Filing Limit We do our best to streamline our processes so you can focus on tending to patients. Best Meritain Health Doctors Near Me | Zocdoc Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Links to various non-Aetna sites are provided for your convenience only. It will show you whether a drug is covered or not covered, but the tier information may not be the same as it is for your specific plan. All rights reserved | Email: [emailprotected], Healthcare information security certification, Dc department of health and licensing search, Washington state mental health license lookup, Car insurance for healthcare professionals. Aetna Insurance Provider Credentialing - The Process - DENmaar The ABA Medical Necessity Guidedoes not constitute medical advice. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. When youre caring for a Meritain Health member, were glad to work with you to ensure they receive the very best. Past 24 Hours After-hours, weekend and holiday services. Torequest participation in First Health networks, follow the link below. website and services to function. Your benefits plan determines coverage. Call center hours 24 hours, 7 days. Meritain Health offers the resources of a national carrier combined with unmatched flexibility and plan options. Aetna Inc. and itsitsaffiliated companies are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. Meritain Health works closely with provider networks, large and small, across the nation. For providers - Meritain Health provider portal - Meritain Health Meritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. benefits. I am a non-physician health care professional who wants to be available for selection as a primary care provider (PCP), and my state regulations allow me to serve as a PCP. Health. Treating providers are solely responsible for medical advice and treatment of members. For serious accidents, injuries and conditions that require immediate medical care. Reprinted with permission. Prompt claims payment Youll benefit from our commitment to service , Health (1 days ago) WebMeritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. Why to Visit Doctors in Your Provider Network - Meritain Health Thank you for your interest in joining our networks. License to sue CPT for any use not authorized herein must be obtained through the American Medical Association, CPT Intellectual Property Services, 515 N. State Street, Chicago, Illinois 60610. Aaron Lissarrague - American Family Insurance, Our American Family Insurance agency is committed to inspiring and protecting dreams, Welcome to the Roderick Youngdahl agency, serving the Maple Grove, MN area since, **You can drop off the information at Debbie's Tax Facts located in Maple Grove, MN, Becky Meierhofer - State Farm Insurance Agent, Thank you for considering Meierhofer Becky Ins. Health (7 days ago) WebMeritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. David Chow is a well-rounded ophthalmologist serving his patients in Reston and Vienna, VA. Dr. Chow, who has been in practice since 1982, currently serves as Chair on the Political Action Committee Board of the Medical Society of Virginia, Richmond, VA. and he is President Emeritus of the Medical Society of Northern .

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